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Version 1 (Released 7 October 2009)
Contents of presentation
 The introduction of licences to practise
 Changes to the online Register and certificates
 Sharing information with the NHS and other
organisations
 More information
The introduction of
licences to practise
The licence to practise
 From Monday 16 November 2009, all UK practising
doctors will need, by law, to be registered with a
licence to practise.
 The licence will give the same legal privileges that
are currently restricted to registered doctors.
 The principal currency of doctors’ GMC status will
be the licence to practise.
 The licence is dependent on registration.
 The licence is the first step towards the introduction
of revalidation.
Licensing
 All new registrants will be granted a licence.
 All doctors restored to the register following removal
for reasons unconnected with fitness to practise, will
automatically be granted a licence, unless they request
otherwise.
 The current circumstances in which registration may
be withdrawn continue, for example, failure to pay the
annual fee, GMC fitness to practise actions.
 When registration is withdrawn, the licence is
automatically withdrawn.
Understanding licensing
Legally able to practise
Subject to revalidation,
when it is introduced
Required to followed
Good Medical Practice
Subject to GMC Fitness to
Practise actions
Registration
with a licence
Yes
Yes
Registration
without a licence
No
No
Yes
Yes
Yes
Yes
Implementing licensing
 All registered doctors are entitled to a licence.
 The GMC has asked doctors to confirm whether they want a licence.
The decision they make will be affected by:
 Legal requirements
 Contractual requirements
 Personal choice
 Over 95%* of doctors on the register (n=209,000) have now
confirmed their decision with the GMC. Around 95% of these doctors
have said they wish to be registered with a licence.
 The GMC has written to confirm doctors’ licensing decision.
 After 16 November, the GMC will write to all registered doctors to
confirm their new GMC status.
* Information correct as of 2 October 2009.
Changes to the online
Register and
certificates
Developing the online Register
 The online Register will be updated on 16 November
2009.
 From this date it will distinguish between doctors who are:
 Registered with a licence to practise; or
 Registered without a licence to practise.
 Employers should check, as now, that doctors hold
appropriate registration.
 The ESR system (in England and Wales) and SWISS
(in Scotland) will also be updated on 16 November 2009.
How the online Register will show that a
doctor is registered with a licence to practise
(from 16 November 2009)
How the online Register will show that a
doctor is registered without a licence to
practise (from 16 November 2009)
Other changes to the online Register
From Monday 16 November 2009…
 New multiple search function
Employers will be able to check the registration details of up to 10
doctors at a time.
 Annual retention fee (ARF) due date
This will be displayed on the ‘Information for employers’ page
associated with a doctor’s record; and in the ‘print view’ of a
record.
New multiple search function
(available from 16 November)
New multiple search function
Annual retention fee due date:
how this will be displayed from
16 November 2009 onwards
Annual retention fee due date:
how this will appear in the ‘print view’
of a doctor’s record
GMC certificates
 Certificates do not constitute a guarantee that a doctor is
currently registered.
 Certificates are not proof of identity.
 The online Register (the List of Registered Medical
Practitioners) provides up to the minute information about a
doctor’s registration.
 There will be a number of changes to certificates from
16 November 2009.
 Some certificates are required under The Medical Act 1983.
Changes to GMC certificates
when licensing is introduced
 Certificate of provisional registration and first full registration
(required by The Medical Act 1983) – no change.
 The Annual Registration Certificate – will be replaced with an
annual retention fee confirmation letter.
 The certified copy of a doctor’s entry - will be discontinued
from 13 November 2009 and replaced from 16 November with a
new Proof of Entry on the Register letter.
The certificate of first full
registration will continue
The current Annual Registration
Certificate (ARC) will be replaced by…
…An annual retention fee
confirmation letter
The current certified copy of an
entry will be replaced by…
…A new Proof of Entry on the
Register letter
Sharing information
with the NHS and other
organisations
Sharing information with the NHS
 The GMC works in partnership with the NHS to add up-todate registration information to their personnel databases.
 We have arrangements in place with:
 The Electronic Staff Record system (ESR) in England and
Wales
 The Scottish Workforce Information Standard System
(SWISS) in Scotland.
 The GMC does not have arrangements in place with the NHS
in Northern Ireland yet, however, discussions are under way.
Sharing information with ESR
 The ESR/GMC interface provides an overview of a doctor’s
registration status as well as background registration
information.
 The system sends alerts to designated Trust contacts when a
doctor’s registration status changes.
 The interface will reflect licensing changes.
Sharing information with SWISS
 SWISS contains a professional regulators section.
 SWISS colleagues will ensure that Scottish NHS Boards will
be given post-licensing information on 16 November.
 In due course the professional regulators section will be
populated with post-licensing GMC data.
 In the interim, Boards must ensure that they keep their data
up-to-date and SWISS colleagues will be happy to assist with
this.
Sharing information with other
organisations
 Most organisations will use the GMC’s website to check a
doctor’s registration status following the implementation of
licensing (www.gmc-uk.org/register).
 This service has been enhanced. It will now be possible to
check ten doctors’ records at one time.
 New data has also been added to the results page
including “expiry” date.
LRMP Download Service
 Large organisations (100+ doctors) may wish to download the
entire online register as a single “CSV” file.
 The file contains all publicly available LRMP data.
 The file is updated daily and will contain the post-licensing
values from 16 November.
 The service is available on a subscription basis.
LRMP Download Service
 The file can be imported into existing systems.
 In order to do this, organisations must already hold their
doctors’ GMC Reference numbers to perform a correct match.
 More information, including the file structure, is available at
www.gmc-uk.org/lrmpdownload.
More information
If you would like more information about licensing
or have a question about this change in medical
regulation, please visit www.gmc-uk.org/licensing
or email [email protected]